Request Static IP If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required Connection Type * Cable modem**DSLFiber **Cable modem customers only Provide the MAC address of the public or WAN interface of your ROUTER, usually displayed on the router's configuration screen as a 12-character string in the format 000F21C33A05. NOTE: Requests for more than one (1) IP Address require a signed IP Address Request and Justification form. Download here. Purpose for request: Select all that apply * Intranet Servers (internally used servers, such as mail)Internet Servers (mail servers, web servers, app servers)Client WorkstationsWAN Network (multiple location connections)LAN Network (internal or "intranet" servers)Employee Networks (such as telecommuters)Third-Party Networks (organizations sharing your network)IPCX (IP Centrex)WiFi InstallationOther (please describe below) If you need room to describe your purpose, use this area. Static IP Pricing: 1 IP Address — $12.99/month 5 IP Addresses — $29.99/month By filling out and submitting this form, you agree to the following: I will complete this form or email [email protected] every time there is a major change to my network topology information or IP address use. IP addresses provided will be reachable by ping or port (http, ftp, etc.) connections within one month of assignment. I acknowledge that Hargray has full right to move/change/modify IP address ranges, including the ability to revoke IPs that are not used. Information on this form is provided in good faith and believed to be accurate.